著者

紺野 愼一

出版者

日本臨床麻酔学会

雑誌

日本臨床麻酔学会誌 (ISSN:02854945)

巻号頁・発行日

vol.33, no.5, pp.703-708, 2013 (Released:2013-11-09)

参考文献数

22

被引用文献数

1

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慢性痛には心理社会的因子が深く関与している.しかし,患者の心理的因子を評価するのは容易ではない.そこで,われわれは外来で施行可能な問診票BS-POP(Brief Scale for Psychiatric Problems in Orthopaedic Patients)(整形外科患者に対する精神医学的問題評価のための質問票)を作成した.BS-POPはすでに信頼性,構成概念妥当性,基準関連妥当性,再現性,および反応性が計量心理学的に検証されている.心理社会的因子を評価せずに手術等の侵襲的な治療を行うと,症状は回復せずにむしろ悪化することが少なくない.リエゾン治療の必要な慢性痛を呈する症例では,心理社会的側面の洞察と同時に,症例によっては脳機能を評価した上で治療を行う多面的アプローチが重要である.

著者

脇田 貴文 栗田 宜明 冨永 直人 加藤 欽志 紺野 愼一 福原 俊一 柴垣 有吾

出版者

関西大学大学院心理学研究科

雑誌

関西大学心理学研究 (ISSN:21850070)

巻号頁・発行日

no.7, pp.17-33, 2016-03

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To identify the sources of hope for patients with chronic disease, a semi - structured interview was conducted with patients middle-aged and older, whose disease types and levels of activities of daily living limitations varied. Six patience - three with chronic kidney disease, one with rheumatoid arthritis, one with spinal cord injury, and another with lumbar spinal canal stenosis - were interviewed by a psychologist and an internist. It was determined that their sources greatly differed depending on individual circumstances, such as types and severity of disease, sources of joy and happiness, family structure, employment status, relationship with friends, etc. However, it also showed a stylization of hope dependent on individual experience; in other words, there was a tendency for patients to redefine their source of hope by setting attainable goals to match their limitations, or acknowledging what they have achieved and finding hope in maintaining their current state. We have determined that the sources of hope are comprised of two categories: [foundation and process of finding hope] and [specific goals and sources]. The former consists of: [stylization dependent on experience], [method and will], [use of external information], [intrinsic foundation], and [extrinsic foundation]. The latter consists of: [health], [source of joy and happiness], [family], and [social connections].